The goal of the AETC Telehealth Training Centers Program (TTCP) is to expand access to and improve healthcare and health outcomes for underserved, hard-to-reach, HIV-positive persons in medical care residing in rural areas. The efforts of the TTCP will enhance the capacity of health care providers engaged in HIV/AIDS health care delivery systems within a region or State through the utilization of telehealth technology for: 1) Clinical consultation which may include the use of case presentations and patient co-management (though it is not intended to supplant patient referral to an expert when needed); 2) Other education and training modalities that result in a continuum of longitudinal learning opportunities for trainees; and 3) Development of an informed support system for trainees.